Jeffrey William Heitner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8497 Issued in MN

Practice address

6608 Flying Cloud Dr
Suite 200
Eden Prairie, MN 55344-3381

Phone

(952) 903-5000

Fax

(952) 944-0642

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841379591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 FLYING CLOUD DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443381",
            "telephone_number": "952-903-5000",
            "fax_number": "952-944-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 FLYING CLOUD DR",
            "address_2": "SUITE 200",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443381",
            "telephone_number": "952-903-5000",
            "fax_number": "952-944-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITNER",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Marie Heath, PT
• Jenny Marie Heidt, D.C.
• Makinley Paige Heil
• Makayla Heim
• Nicole Alice Heinrich, DVM
• Judson W Heitner, D.D.S.
• Hekima Care Inc.
• Gregory Helenburg
• Tricia Mary Hemann
• Marina Hemayaallah

• General Practice Dentistry in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.